NR442 - Community Health
Practice Exam A. 50 questions
and their respective well detailed
answers ( with rationales)
1. A community health nurse is planning a presentation for
adults who have a family history of Alzheimer's disease.
Which of the following behaviors should the nurse include
as an early manifestation of Alzheimer's disease
a.Withdrawal from social activities
b.Forgetting the location of common object
c. Experiencing incontinence
d.Neglecting personal hygiene
Rationale: Forgetting the location of common objects is an early
manifestation of Alzheimer'sdisease.
2. A home care nurse is visiting an older adult and notes that
unwashed dishes are piled up and newspapers cover the front
steps. Which of the following questions should the nurse to ask the
client to determine if he is socially isolated?
a."Why haven't you brought in your newspapers?"
b."Do you need help completing your housework?”
c. "How often do you have visitors come to see you?"
d."Have you considered moving to an assisted living facility?"
Rationale: "How often do you have visitors come to see you?" MY ANSWER
The nurse should ask this question because it addresses the issue of social
isolation by determining the frequencyof contact between the client and
others.
3. A nurse is providing education regarding lead exposure to a
group of clients who live in ahousing development built in 1968.
Which of the following client statements indicates an
understanding of the teaching?
a."I will use a dry-sanding technique when preparing to repaint my
front door."
b."I will vacuum our wood floors every week."
c. "I will increase the amount of red meat and milk in my
child's diet."
d. "I will use hot tap water to prepare my baby's formula."
,Rationale: Children should receive adequate amounts of iron
and calcium in their diets toprevent lead absorption from their
environment.
4. 1. A community health nurse is planning to establish a
community garden to address the lack of nutritious food
options in the area. Which of the following actions should the
nurse take first to initiate the plan?
a.Identify community members who demonstrate an
interest in the project.
b.Hold a community information session to inform the residents of
the plan
c. Select residents to take on leadership roles in the project
d.Monitor the progress of the project to keep the project on course
Rationale: Identify community members who demonstrate an
interest in the project. The first action the nurse should take when
using the nursing process is to assess the community. By identifying
those community members who demonstrate an interest in the
project, the nurse canestablish a local support group who will assist
in engaging other community residents with establishing the
garden.
5. A school nurse is reviewing the records of four students who
are returning to school afterbeing diagnosed with methicillin-
resistant staphylococcus aureus (MRSA). Which of the
following actions should the nurse take?
a.Coordinate an immunization clinic at the school
b.Recommend prophylactic treatment for classmates
c. Report the cases of MRSA to child protective services
d.Provide education about MRSA
throughout the school system
Rationale: Appropriate hand hygiene and self-
care will help prevent the spread of MRSA
6. A community health nurse is creating a program to
reduce domestic violence in the community. Which of the
following interventions should the nurse identify as
secondary prevention?
, a. Creating a public service announcement about the warning signs of
intimate partner abuse
b. Recognizing and reporting suspected abuse to the appropriate protective
services
c. Collaborating with support agencies to ensure the ongoing
treatment for abuse
e. Educating individuals and groups about preventing domestic and
community abuse
Rationale: Secondary prevention is an intervention that focuses
on early detection of a health problem to facilitate early diagnosis
and treatment. Recognizing and reporting suspected
abusefacilitates diagnosis and intervention, helping to prevent
further abuse.
7. A nurse in a clinic is planning teaching for a client who was newly
diagnosed with hepatitis
C. Which of the following instructions should the nurse include in the
teaching?
a. Consume a low-carbohydrate diet until symptoms resolve.
b. Schedule an appointment for an immunoglobulin injection.
c. Abstain from sexual intercourse until antibody tests are
negative..
d. Wear a mask in public places while receiving treatment.
Rationale: Hepatitis C is transmitted through sexual intercourse.
Therefore, the nurse shouldinstruct the client to abstain from sexual
intercourse until antibody tests are negative.
8. A public health nurse is conducting an education session about
Lyme disease for a group of older adult clients at a senior center.
Which of the following statements should the nurse identify as an
indication that the client understands the teaching?
a."I should get an annual immunization to prevent Lyme disease."
b. "I can take penicillin for 10 to 14 days to manage Lyme
disease."
c. "I can get Lyme disease from a mosquito bite."
d. "I will have abdominal pain and diarrhea if I get Lyme disease."
Rationale: A client who receives a diagnosis of Lyme disease
in the early stages should respond to 10 to 14 days of penicillin
or tetracycline therapy. The nurse should instruct thestudents
to consume less than 300 mg/day of dietary cholesterol. High
levels of dietary cholesterol in a diet can be a risk factor for
cardiovascular disease.
Practice Exam A. 50 questions
and their respective well detailed
answers ( with rationales)
1. A community health nurse is planning a presentation for
adults who have a family history of Alzheimer's disease.
Which of the following behaviors should the nurse include
as an early manifestation of Alzheimer's disease
a.Withdrawal from social activities
b.Forgetting the location of common object
c. Experiencing incontinence
d.Neglecting personal hygiene
Rationale: Forgetting the location of common objects is an early
manifestation of Alzheimer'sdisease.
2. A home care nurse is visiting an older adult and notes that
unwashed dishes are piled up and newspapers cover the front
steps. Which of the following questions should the nurse to ask the
client to determine if he is socially isolated?
a."Why haven't you brought in your newspapers?"
b."Do you need help completing your housework?”
c. "How often do you have visitors come to see you?"
d."Have you considered moving to an assisted living facility?"
Rationale: "How often do you have visitors come to see you?" MY ANSWER
The nurse should ask this question because it addresses the issue of social
isolation by determining the frequencyof contact between the client and
others.
3. A nurse is providing education regarding lead exposure to a
group of clients who live in ahousing development built in 1968.
Which of the following client statements indicates an
understanding of the teaching?
a."I will use a dry-sanding technique when preparing to repaint my
front door."
b."I will vacuum our wood floors every week."
c. "I will increase the amount of red meat and milk in my
child's diet."
d. "I will use hot tap water to prepare my baby's formula."
,Rationale: Children should receive adequate amounts of iron
and calcium in their diets toprevent lead absorption from their
environment.
4. 1. A community health nurse is planning to establish a
community garden to address the lack of nutritious food
options in the area. Which of the following actions should the
nurse take first to initiate the plan?
a.Identify community members who demonstrate an
interest in the project.
b.Hold a community information session to inform the residents of
the plan
c. Select residents to take on leadership roles in the project
d.Monitor the progress of the project to keep the project on course
Rationale: Identify community members who demonstrate an
interest in the project. The first action the nurse should take when
using the nursing process is to assess the community. By identifying
those community members who demonstrate an interest in the
project, the nurse canestablish a local support group who will assist
in engaging other community residents with establishing the
garden.
5. A school nurse is reviewing the records of four students who
are returning to school afterbeing diagnosed with methicillin-
resistant staphylococcus aureus (MRSA). Which of the
following actions should the nurse take?
a.Coordinate an immunization clinic at the school
b.Recommend prophylactic treatment for classmates
c. Report the cases of MRSA to child protective services
d.Provide education about MRSA
throughout the school system
Rationale: Appropriate hand hygiene and self-
care will help prevent the spread of MRSA
6. A community health nurse is creating a program to
reduce domestic violence in the community. Which of the
following interventions should the nurse identify as
secondary prevention?
, a. Creating a public service announcement about the warning signs of
intimate partner abuse
b. Recognizing and reporting suspected abuse to the appropriate protective
services
c. Collaborating with support agencies to ensure the ongoing
treatment for abuse
e. Educating individuals and groups about preventing domestic and
community abuse
Rationale: Secondary prevention is an intervention that focuses
on early detection of a health problem to facilitate early diagnosis
and treatment. Recognizing and reporting suspected
abusefacilitates diagnosis and intervention, helping to prevent
further abuse.
7. A nurse in a clinic is planning teaching for a client who was newly
diagnosed with hepatitis
C. Which of the following instructions should the nurse include in the
teaching?
a. Consume a low-carbohydrate diet until symptoms resolve.
b. Schedule an appointment for an immunoglobulin injection.
c. Abstain from sexual intercourse until antibody tests are
negative..
d. Wear a mask in public places while receiving treatment.
Rationale: Hepatitis C is transmitted through sexual intercourse.
Therefore, the nurse shouldinstruct the client to abstain from sexual
intercourse until antibody tests are negative.
8. A public health nurse is conducting an education session about
Lyme disease for a group of older adult clients at a senior center.
Which of the following statements should the nurse identify as an
indication that the client understands the teaching?
a."I should get an annual immunization to prevent Lyme disease."
b. "I can take penicillin for 10 to 14 days to manage Lyme
disease."
c. "I can get Lyme disease from a mosquito bite."
d. "I will have abdominal pain and diarrhea if I get Lyme disease."
Rationale: A client who receives a diagnosis of Lyme disease
in the early stages should respond to 10 to 14 days of penicillin
or tetracycline therapy. The nurse should instruct thestudents
to consume less than 300 mg/day of dietary cholesterol. High
levels of dietary cholesterol in a diet can be a risk factor for
cardiovascular disease.
